Doctor Name: | EDWARD ANTHONY O'MALLEY |
NPI Number: | 1861425761 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.P.T. |
License Number: | 070-008577 |
Business Practice Address: | 448 A North Weber Road Romeoville, IL - 604465354 |
Business Phone Number: | 8752933740 |
Business Fax Number: | 8152933742 |
Mailing Address: | 448 A North Weber Road, ROMEOVILLE |
State: | IL |
Postal Code: | 604465354 |
Phone Number: | 8152933740 |
Fax Number: | 8152933742 |
NPI Enumeration Date: | 07/07/2006 |
NPI Last Update Date: | 02/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 070-008577 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |